HomeMy WebLinkAboutEHPR-02-2023-43410.tif _r CATAWBA COUNTY Case# EHPR-02-2023-43410
.f. Public Health Department
Subdivision
Environmental Health Division
i PIN# 371412960319
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
NAME ON PERMIT:
Site Address: 3621 16TH ST NE,HICKORY NC 2860I
Property Size: Square Feet 487,436.40 Acres 11.19
Directions: 16th St NE past 36th Ave Dr NE,Construction entrance on left
15A NCAC 02C.0113 ABANDONM ENT OF WELLS
(a) Any well which has been temporarily abandoned, shall be abandoned in accordance with one of the folbwing
procedures:
(1) Upon temporary removal from service or prior to being put into service, the well shall be sealed with a
water-tight cap or seal compatible with casing and installed so that it cannot be removed easily by hand.
(2) The well shall be maintained whereby it is not a source or channel of contamination during temporary
abandonment.
(3) Every temporarily a bandone d well shall be protected with a casing
(b) Any well which has been abandoned permanently shall be abandonednn accordance with the following procedures:
(1) Procedures for permanent abandonment of wells,other than bored and hand dug wells
(A) All casing and screen materials may be removed prior to initiation of abandonment procedures if
such removal will not cause or contribute to contamination of the groundwaters. Any casing not
grouted in accordance with 15A NCAC2C .0107(e) of this Section shall be removed or properly
grouted.
(I3) The entire depth of the well shall be sounded before it is sealed to ensure freedom from
obstructions that may interfere with sealing operations.
(C) Using a hypochbrite solution (such as 11111),disinfect the well in accordance with I5A NCAC
2C .0111. Do not use a common commercial household liquid bleach, as this is too weak a
solution to ensure proper disinfection.
(D) In the case of gravel-packed wells in which the casing and screens have not been removed.
neat-cement,or bentonite grout shall be injected into the well completely filling it from the bottom
of the casing to the top.
(E) Wells, other than "bored" wells, constructed in unconsolidated formations shall be completely
filled with cement grout, or bentonite grout by introducing it through a pipe extending to the
bottom of the well which can be raised as the well is filled.
(F) Wells constructed in consolidated rock formations or that penetrate zones of consolidated rod.
may be filled with cement grout,bentonite grout,sand,gravel or drill cuttings opposite the zones
of consolidated rock. The top of the cement grout,bentonite grout, sand,gravel or cutting fill
shall terminate at least 10 feet below the top of the consolidated rock or five feet below the bottom
of casing.Cement grout or bentonite grout shall be placed beginning 10 feet be low the top of the
consolidated rock or five feet below the bottom of casing and extend five feet above the top of
consolidated rock. The remainder of the well,above the upper zone of consolidated rock,shall be
filled with cement grout or bentonite grout up to land surface. For any well in which the depth of
casing or the depth of the bedrock is not known or cannot be confirmed,then the entire length of
the well shall be filled with cement grout or bentonite grout up to land surface.
(G) Temporary wells or monitor wells:
(i) less than 20 feet in depth which do not penetrate the water table shall be abandoned by
filling the entire well up to land surface with cement grout,dry clay,bentonite grout,or
materia I e xcavated dur ing drilling of the well and then compacted in place;and
(ii) that penetrate the water table shall be abandoned by completely filling with a bentonite or
cement-type grout.
continued
ciapplicouinn 02/14/2023 15:12 Page 3 of 7
g• •• CATAWBA COUNTY Case t EHPR-02-2023-43410
r� .t. .y Public Health Department Subdivision
., i�. � Environmental Health Division PIN# 371412960319
PO Box 389, 100-A Southwest Blvd,Newton,NC 28658
$4 v'
NAME ON PERMIT:
Site Address: 3621 16TH ST NE,HICKORY NC 28601
Property Size: Square Feet 487,436.40 Acres 11.19
Directions: 16th St NE past 36th Ave Dr NE,Construction entrance on left
(2) For bored wells or hand dug wells,constructed into unconsolidated material.
(A) For wells that do not have standing water in them at any time during the year:
(i) Remove all plumbing or piping entering the well,along with any obstructions in the we I 1;
(ii) Remove as much of the well casing as possible and then fill the entire well up to land
surface with cement grout, concrete grout, bentonite grout, dry clay, or material
excavated during drilling of the well and then compacted in place.
(B) For wells that do have standing water in them during all or part of the year:
(i) Remove all plumbing or piping into the well,along with any obstructions inside the well;
and
(ii) Remove as much of the well tile casing as possible,but no less than to a depth of three
feet below land surface;
(iii) Remove all soil or other subsurface material present down to the top of the remaining
well casing,and extending to a width of at least 12 inches outside of the well casing on
all sides;
(iv) Using a hypochlorite soluti on(such as HTH),disinfect the well in accordance with 15A
NCAC 2C.0111 of this Subchapter.Do not use a common commercial household liquid
bleach,as this is too weak a solution to ensure proper disinfection;
(v) Fill the well up to the top of the remai ning casing with cement gout,concrete grout,
bentonit grout, dry clay, or material excavated during drilling of the well and then
compacted in place;
(vi) Pour a one foot thick concrete grout or cement grout plug that fills the entire excavated
area above the top of the casing,including the area extending on all sides of the casing
out to a width of at least 12 inches on all sides;and
(vii) Complete the abandonment process by filling the remainder of the well above the
concrete or cement plug with additional concrete grout,cement grout,or soil.
(c) Any well which acts as a source or channel of contamination shall be repaired or permanently abandoned within 30 days
of receipt ofnotice from the department.
(d) The drilling contractor shall permanently abandon any well in which the casing has not been installed or from which the
casing has been removed,prior to removing his equipment from the site.
(e) The ownershall be responsible for permanent abandonment of a well except that:
(I) the well driller is responsible for well abandonment if abandonment is required because the driller
improperly bcates,constructs,repairs or completes the well;or
(2) the person who installs, repairs or removes the well pump is responsible for well abandonment if that
abandonme nt is required because of improper well pump installation,repairor removal.
History Note: Authority G.S.87-87; 87-88;
Eff February 1, 1976;
Amended Eff April 1,2001; December 1, 1992;Seplember 1, 1984;April20, 1978.
continued
cIarplic:num 02/14/2023 15:12 Page 4 of 7
4.1i • CATAWBA COUNTY Case# EHPR-02-2023-43410
(t l Public Health Department Subdivision
.....,
n, ' Environmental Health Division PIN# 371412960319
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
84 sw
NAME ON PERMIT:
Site Address: 3621 16TH ST NE,HICKORY NC 28601
Property Size: Square Feet 487,436.40 Acres 11.19
Directions: 16th St NE past 36th Ave Dr NE,Construction entrance on left
15A NCAC 02C.0114 DATA AND RECORDS REQUIRED
(a) Well Cuttings.
(I) Samples of formation cuttings shall be collected and furnished to the Division from any well when such
samples are requested by the Division prior to completion of the drilling or boring activities.
(2) Samples or representatives cuttings shall be obtained for depth intervalsof 10 feet or less beginning at the
land surface. Representative cuttings shall also be collected at depths of each significant change in
formation.
(3) Samples of cuttings shall be placed in containers furnished by the Division and such containers shall be
filled,sealed and properly labeled with indelible-type markers,showing the well owner,well number if
applicable,and depth interval the sample represents.
(4) Each set of samples shall be placed in a suitable container(s) showing the location,owner,well number if
applicable,driller,depth interval,and date.
(5) Samples shall be retained by the driller until delivery instructions are received from the Division or for a
period of at least60 days after the well record form(GW-1),indicating said samples are available,has been
received by the Division.
(6) The furnishing of samples to any person or agency other than the Division shall not constitute compliance
with the department's request and shall not re lieve the driller of his obligation to the department.
(b) Reports.
(I) Any person completing or abandoning any well shall submit to the Division a record of the construction or
abandonment. For public water supply wells,a copy of each completion or abandonment record shall also
be submitted to the Health Department responsible for the county in which the well is located.The record
shall be on forms provided by the Division and shall include certification th at construction or abandonment
was completed as required by these Rules,the owner's name and address,well location,diameter,depth,
yield,and any other information the Division may reasonably require.
(2) The certified record of completion or abandonment shall be submitted within a period of thirty days after
completion or abandonment.
(3) The furnishing of records to any person or agency other than the Division shall not constitute compliance
with the reporting requirement and shall not relieve the driller of his obligation to the Department.
History Note: Authority G.S.87-87; 87-88;
bff.February 1, 1976;
Amended Eff April 1,2001; December 1, 1992;September 1, 1984;Apri120, 1978.
CliArplr ati,.n 02/14/2023 15:12 Pagc 5 of 7
"_\ CATAWBA COUNTY Case# EHPR-02-2023-43410
(~ t i \ Public Health Department Subdivision
d ,- "I Environmental Health Division PIN# 371412960319
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
/8 2 w
NAME ON PERMIT:
Site Address: 3621 16TH SINE,HICKORY NC 28601
Property Size: Square Feet 487,436.40 Acres 11.19
Directions: 16th St NE past 36th Ave Dr NE,Construction entrance on left
l , .mac
-s WELL ABANDONMENT RECORD
lei:.' ` North Carolina Department of Environment and Natural Resources-Division of Water Quality
WELL CONTRACTOR CERTIFICATION#
I.WELL CONTRACTOR: 5. WELL DETAILS:
a.Total Depth: R. Diameter: in.
Well Contractor(Individual)Name b.Water Level(Below Measuring Point): __ _fl.
Measuring point is _, ,,,.,_it.above land surface.
Well Contractor Company Name
STREET ADDRESS 6. CASINO: Length Diameter
__ ___ a.Casing Depth(if known): II. _in
City or Town State Zip Code h.Casing Removed: It. in.
( )-
Area code-Phone number 7. DISINFECTION:
2.WELL INFORMATION: (Amount of 65%-75%calcium hypochlorite used)
SITE WELL ID s(if applicable) R. SEALING MATERIAL:
STATE WELL PERMIT#(if applicable) Neat Cement Sand Cement
Cement lb. Cement lb.
COUNTY WELL PERMIT It(if applicable) Water gal. Water gal.
DWQ or OTIIER PERMIT F(if applicable) Jjenlonite
WELL USE.(Circle applicable use): Monitoring Residential Fknlmtitc
Municipal'Public Industrial/Commercial Agricultural lb.
Type:Slurry Pellets
Recovery Injection Irrigation Water gal
Other(lint use)
Other
3.WELL LOCATION:
COUNTY QUADRANGLE NAME Type material
NEAREST TOWN: Amount
(StreeuRoud Name.Nunrhe,Community,Subdivision.Lot No.,Parcel,Zip Code) 9. EXPLAIN METHOD OF EMPLACEMENT OF MATERIAL:
TOPOGRAPHIC/LAND SETTING: __......_.
Slope Valley Flat Ridge Other
(Circle appropriate setting) _
May be in degrees. ......
LATITUDE minutes,.eeonJs.or rn u
LONGITUDE decimal 6m°pt 10. WELL DIAGRAM:Draw a detailed sketch of the well on the back of this
Latitude/longitude source: GPS Topographic map forth showing total depth.depth and diameter of screens(if any)rentaining
(Location of well must be short on a USGS,m,;,o mall on(t in the well,gravel interval.intervals of casing perforations.and depths and
attached to this fbrm ifnol wring GPS.) types of fill materials used.
4a.FACILITY.'the name of the hnsines,where the well is hated.Complete 4a and4b.
(If a residential well.skip 4a:compete 4b.well owner information onty.t II. DATE WELL ABANDONED
FACILITY ID H(if applicable)
. ........__._..__..__......__......._._................_....�.__. I DC)HEREBY CERTIFY THAT THIS WELL WAS ABANDONED IN ACCORDANCE
NAME OF FACILITY WITH ISA NCAC 2C.WELL CONSTRUCTION STANDARDS.AND THAT A COPY OF
TIItS RECORD HAS BEEN PROVIDED TO T'l1E WELL OWNER.
STREET ADDRESS
City or Town Slate Zip Code SIGNATURE OF CERTIFIED WELL CONTRACTOR DATE
4b.CONTACT PERSON/WELL OWNER:
NAME SIGNATURE OF PRI VATE WELL OWNER ABANDONING THE WELL DATE
(The private well owner must be an individual who personallt abandons l is.'tier residential well
STREET ADDRESS Vnacvoidance with ISA NCAC'2C.Ot t.)
City or Town State Zip Code PRINTED NAME OF PERSON ABANDONING THE WELL
( I-
Area code-Phone number
Submit a copy to the owner and the original to the Division of Water Quality within 30 days. Form GW-30
Attn:Information Management,1617 Mail Service Center-Raleigh,NC 27699-1617. Phone No.(919)713-7015 ext 568. Rev.5/06
ehapplicauon 02/14/2023 15:12 Page 7 of 7
$ •6 THIS IS NOT PERMIT Case# EHPR-02-2023-434 1 0
Q"
CATAWBA COUNTY HEALTH DEPARTMENT
PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES
/8 2 sM Environmental Health Plan Review-OSWP
ABANDONMENT
Applicant CATAWBA VALLEY ENGINEERING (NATHAN SIMMONS),PO BOX 747,HICKORY NC 28603
B:8285781431 NSIMMONS@CVET.NET
Owner BCDG-BEAR PARK LLC,2401 HOBART CT,CHARLOTTE NC 28209
NAME TO APPEAR ON PERMIT
Catawba Valley Engineering (Nathan Simmons)
SITE ADDRESS: 3621 16TH ST NE,HICKORY NC 28601 PIN# 371412960319
NAME of SUBDIVISION: Lot# Section/Block
PROPERTY SIZE: Square Feet 487,436.40 Acres 11.19
DIRECTIONS: 16th St NE past 36th Ave Dr NE,Construction entrance on left
PRIMARY CONTACT: SEWER TYPE:
GALLONS PER DAY: WATER SUPPLY:
DESCRIBE WORK: well abandonment
SITE INFORMATION
Do any of the following apply to the property for which this application is applied?
If the answer to any of the questions below is"YES",then supporting documentation is required:
Does this site contain any jurisdictional wetlands? No
Does this site contain any existing wastewater systems? No
Is any of the wastewater going to be generated on the site other than domestic sewage? No
Is the site subject to approval by any other public agency? No
Are there any easements or right-of-ways on this property?
APPLICATION FOR:
STRUCTURE TYPE: **NO STRUCTURE SELECTED**
DESCRIPTION OF
EXISTING STRUCTURES
ON SITE(IF ANY)
DIM EXISTING STRUCTURE:
NUMBER OF EXISTING BEDROOMS: *OF OCCUPANTS:
PROPOSED CONSTRUCTION
EMPLOYEES PER SHIFT: NUMBER OF SHIFTS: TOTAL EMPLOYEES:
SEATING CAPACITY: TOTAL FLOOR SPACE(SQ FT):
Desired system types(Improvement Permit or Authorization to Construct):
ACCEPTED: ALTERNATIVE: CONVENTIONAL:
OTHER: INNOVATIVE: ANY:
Other described:
APPLICATION FOR WELL ABANDONMENT
ABANDONMENT TYPE: Dug
cIapplic;lilt PI) 02/14/2023 15:12 Page 1 of 7
le,4+� CATAWBA COUNTY Case# EH PR-02-2023-43410
I:, .t.l ,Z Public Health Department Subdivision
d Environmental Health Division PIN# 371412960319
PO Box 389,100-A Southwest Blvd,Newton,NC 28658
s•
NAME ON PERMIT:
Site Address: 3621 16TH ST NE,HICKORY NC 28601
Property Size: Square Feet 487,436.40 Acres 11.19
Directions: 16th St NE past 36th Ave Dr NE,Construction entrance on left
Completed applications are valid for a period of 2 years.Improvement Permits are valid:with complete site plan=60 months(5 years);with complete plat
=without expiration. An Authorization to Construct will remain valid as long as the Improvement Permit is valid.An Authorization to Construct issued for
septic repair is valid for 60 months(5 years).Permits may be revoked if the information on this application/site plan changes or if the intended use for the
proposed facility changes. Permits may be revoked if site conditions are altered such that they effect permit conditions or installation requirements
I have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state officials are
granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely
responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation
can be performed.
The undersigned is the owner of the property or legal agent of the owner.
Date: Signature of Applicant or Agent
If you need further information or assistance please call 828-465-8270
AREA2
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FEENAME DATE FEE AMOUNT
Well Abandonment Fee 02/14/2023 S100.00
TOTAL FEES S100.00
FEES ARE NON-REFUNDABLE
ONCE A SITE VISIT IS MADE OR
WORK ON A PLAN REVIEW HAS COMMENCED
SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE
(SEE FEE SCHEDULE)
eliapple.atnm 02/14/2023 15:12 Page 2 of 7
catawba county
public health 311 i b
Application for Environmental health Services ‘°D
THIS IS NOT A PERMIT
Application is for: _ ❑ New Construction 0 Existing Facility
❑Improvement Permit ❑Authorization to Construct
[New Septic ❑Septic Repair/Malfunction Li Septic Relocation ❑Septic Expansion
❑Existing System Inspection or Reconnect ion
❑New Well 0 Re lacen►c►a Well Well Abandonment ❑Well Repair
Property Address 2 5�Ie4} Nt �{t; S.� i'NC-7g6Ot
Acres t.I Subdivision clo) c,%'t%ds I >r p s- Lot#
Driving Directions tQ Property Tee YW f�\n c,,� i�,_ 1.•. S\re.ek al e i p o �. ��iln Ni w►�
6Y a�PuKluta,��\` 14c� I rQ t � oit '��:A ktJ) `�Iti C
Describe work t otAP A,I ,.►�2(� c.t,.t,( t}ur1 I
y 1
Applicant Name 0 AekW\i cu4‘a lam, VikVeyn�Jy,.►eoi; i4 :1-°5+,
Applicant Address Q iok '7Lri.+ (1-?o y F d\.)
Phone Z a— S-4 R_ 14 y Email insiim A+1oKSe
Owner Name "- d„r pz
4r L L
Owner Address 7_1{O t 4.1o{r f� CC?J I C t,,o r off} tN Z Z�t
Phone � _ Etnail
Contractor Name C-c, u�kx,, U ,11c� ;LAc: � . sf'_L.y
Contractor Address F c (41- - (Vac y, N( -Z t!?, 3 rr
Phone ST'2 —Ltt3 ( _LCt�_aii x\eSh016&s CVtt.
Name to Appear on Permit? XOwnur ❑Applicant ❑Contcutor
Who will be the Primary Contact? ❑Owner applicant ❑contractor
Proposed New Construction-Residential
Primary Residence ❑ New Residence ❑ Addition to Reside uce f!of New Bedrooms't #of Occupants
Project Description
Structure Dimensions,also specify dimcncions or decks&;,niches
Basement ❑Yes ❑ No Basen:ert PI:.nb:np ❑Y's ❑ ;
Accessory Dwelling #of New Bedrooms Si N of U:crrp3nts •.,_ Structure Dimensions
Basement ❑Yes ❑No Basement Plumping ❑ Yes [] No
Accessory Structure(s)Describe __ Structure(s)Dimensions
Plumbing ❑Yes ❑No Describe Plumbing
Multi-Family Residence #of Apartments i/bedrooms per Apartment't Total#Bedrooms in Structure It #of Occupants
Structure Dimensions _ Basement ❑Yc>. 0 No Basement Plumbing ❑Yes 0 No
Well Construction/Abandonment/Repair
Proposed Well Type ,› Individoal Well 0 Scmi-Public Well 0 Community Well
Abandonment Type ❑ Dril eJ d ❑ Bored Dug ❑ Unknown
El Repair Requested Yes o Describe
Will Certified Well Contractor Install Water line or Electrical Line trom Well Bead to Pressure Tank?❑Yes ❑No
catawbacountync.gov
Environmental Health
Cotavrho Cously Goverment (enter
25 Government Orive ; PO Bar 389 I Newton NC 28658 1828.465.8270
MAKING. LIVING. BETTER.
Scanned with CamScanner
Existing Structures on Site
Describe C) J p( t++t �+ 1.". �t�,�� • 0\A 1 ! Structure Dimensions Yl c\
#of Bedrooms'" N 6 #of Occupants V\ <<c:
Basement 0 Yes Io Basement Plunthint, [j Yes 1,3c1Nlo
Existing Water Supply
individual Well ❑Shared Well-Number of Connections ❑Community Well 0 County/City/Township Water Line
Is a public water supply available? •• ❑ Yes 0 No
Commercial ❑Proposed New Construction 0 Existing/Change of Use 0 Repair
Food Service Specify Type
#Seats Dining Area(Sq.Ft.)__
#Employees per Shift #of Shifts
Church #of Seats Daycare 0 Yes ❑No #of Children #of Employees per Shift #of Shifts
Commercial Kitchen ❑Yes ❑No Residential Kitchen 0 Yes 0 No
Daycare#of Children #of Employees per Shift /I of Shifts
Business/Other Specify Type Structure Dimensions
Retail Floor Space :i of Employees per Shift #of Shifts
Other Information
Calculated Design Flow,Commercial t (i hi. valu 7 will he determined by EH staff)
The Applicant shall notify the local health department upon s.tbmiva!of this application if any of the following apply to the property in
question. If the answer to any question is"yes",applicant must attach supporting documentation.
❑Yes Does the site contain any jurisdictional wetlands?
❑Yesgo
o Does the site contain any existing wastewater systems?
❑Yes LNo Is any wastewater going to be generated on the site other than domestic sewage?
❑Yes )3eVo is the site subject to approval by any other public agency?
❑Yes Are there any easements or right of sways on this property? Describe
If applying or an Improvement Permit or Authorization to Construct,Please Indicate Desired System Type(s):
(systems can be ranked in order of your preference)
❑Accepted 0 Alternative 0 Conventional Cl Innovative 0 Other 0 Any
`Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted
on all applications.The number of bedrourns will be confirmed by rooms identified on floor plans as a bedroom at the time of building permit
issuance. This may prevent the need for septic system expansion in the future.
t if structure is plumbed but has no bedrooms,calculated deign fow w ill be determined by EH Staff.
••If No,a well permit must be issued with the Authorization to Construct.
RETRIPTO THE PROPERTY AND/OR SYSTEM ItEI)ESIC1 WILL,INCUR AN ADDITIONAL CHARGE(SEE FEE SCHEDULE)
Environmental Health soil/site evaluations t cyuite di itig,di.g.ring,and/or probing into the ground.Property owner/applicant is responsible
for marking all underground utilities,including but not limited to:underground power,cable,telephone,gas,water lines,and irrigation
systems/sprinkler systems.Catawba County Gnvinm.net :al I lealth is not responsible for damage to unmarked utilities.
Completed applications are valid for a pet to of 2 years l mp•o,ement Permits are valid:with complete site plan=60 months(5 years);
with complete plat=without expiration. At. Auilwriiatiou tc,(onstruct vill remain valid as long as the Improvement Permit is valid.An
Authorization to Construct,issued fur septi:repair is vat d for:nit r•. nth (5 years).Permits may be revoked if the information on this
application/site plan changes or if the intended use lin th.: p;t ;sed lacil.ty changes.Permits may be revoked if site conditions are altered such
that the effect ermit conditions or installation requiremcnts.__
i have read this application and certify that the information provided herein is true,complete and correct. Authorized county and state
officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I
understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site
accessible so that a complete site evaluation can be performed.
The undersigned is the owner oft roperty or gal 4;i:it of the ow er.
7
Signature of Owner or Legal Agent - Date
Printed Name of Owner or Legal Agent DO✓r D ��n h a T
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Parcel: 371412960319, 3621 16TH ST NE 1in=200ft
HICKORY, 28601
This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts
to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends
the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and
personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may
arise from this map/report product or the use thereof by any person or entity.
Copyright 2021 Catawba County NC
02/14/2023
Parcel Report - Catawba County NC
Parcel Information: Owner Information:
Parcel ID: 371412960319 Owner: BCDG-BEAR PARK LLC
Parcel Address: 3621 16TH ST NE Owner2:
City: HICKORY, 28601 Address: 2401 HOBART CT
LRK(REID): 607166 Address2:
Deed Book/Page: 3762/1941 City: CHARLOTTE
Subdivision: State/Zip: NC 28209-3420
Lots/Block: /
School Information:
Last Sale:
School District: COUNTY
Plat Book/Page: 84/169
Elementary School: CLYDE CAMPBELL
Legal: PLAT 84-169
Middle School: ARNDT
Calculated Acreage: 11.190 High School: ST STEPHENS
Tax Map:
Township: HICKORY School Map
State Road #: 1401
TaxNalue Information: Tax Rates Zoning Information:
City Tax District: HICKORY Zoning District: HICKORY
County Fire District: All in City Zoningl: R-3
Building(s) Value: $0 Zoning2:
Land Value: $171 ,700 Zoning3:
Assessed Total Value: $171,700 Zoning Overlay:
Year Built/Remodeled: / Small Area:
Tax Revaluation 2023: Info, COMPER Split Zoning Districts: /
Online Appeals Zoning Agency Phone Numbers
Comparable Sales (COMPER) for this parcel
Contact Tax Dept. at 828-282-2009
Current Tax Bill
Miscellaneous: Firm Panel Date:
Building Permit Address Search for this parcel. Firm Panel #:
If available, Building Permits for this parcel. Septic 2010 Census Block: 1034
links are not permits. 2010 Census Tract: 010302
Septic Final Permits prior to 08/2018, contact Agricultural District:
Environmental Health.
Building Details
WaterShed:
Voter Precinct: P38/ Voting Map
Parcel Report Data Descriptions
List all Owners Deed History Report Assessment Report
This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of
location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on
this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,
whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity.
�$A • CATAWBA COUNTY
100A SOUTI(WEST BLVD
` NEWTON,NORTH CAROLINA 28658 RECEIPT
V lig O PHONE:828.465.8399
Tuesday,February 14,2023
I8 4 55M www.catawbacountync.gov
PAYOR: Catawba Valley Engineering
Catawba Valley Engineering(Simmons,Nathan)
PAYMENTS
TRANSACTION NUMBER: TRC-576671 84-14-02-2023
PAYMENT DATE: 02/14/2023
PAYMENT TYPE: Credit Card
301119385
INVOICE NUMBER ACCOUNT FEE NAME FEE AMOUNT
02-23-418349 110-580200-663000 Well Abandonment Fee $100.00
TOTAL PAYMENTS: $100.00
EHPR-02-2023-43410
CASE TYPE: Environmental Health Plan Review WORK CLASS: OSWP
SITE ADDRESS: 3621 1611-1 STNE,I IICKORY NC 28601
Applicant CATAWBA VALLEY ENGINEERING,PO BOX 747,HICKORY NC 28603
B:8285781431 NSIMMONS@CVET.NET
**NO PEOPLESOFT ACCOUNT ASSIGNED**
Owner BCDG-BEAR PARK LLC,2401 HOBART CT,CHARLOTTE NC 28209
receipt 02/14/2023 15.09 Page 1 of 1